The Role of Varicocele Grade on Seminal Fluid Parameters Post Varicocelectomy : Experience at Prince Hussein Urology Centre

Abstract

Objectives: To assess the role of varicocele grade on seminal fluid parameters improvement post varicocelectomy. Methods: This retrospective study was conducted at Prince Hussein Urology and Organ Transplant Center from the period of January 2011 to December 2014. Two hundred and seventy five male patients with clinical varicocele who underwent varicocele surgery for abnormal seminal fluid parameters were involved in the study. Forty five patients had grade I varicocele, 132 patients had grade II varicocele and 98 patients had grade III varicocele. Two seminal fluids analysis tests were obtained from each patient preoperatively and another two (3-6) months postoperatively to assess the improvement in both sperm count and total sperm motility postvaricocelectomy. Results: The sperm count improved in all three grades of varicocele postoperatively. Grade III varicocele patients had the highest improvement from (21.5± 13.8 million/ml) to (39.8 ± 10.2million/ml), P value <0.05 in 81% of patients. The mean sperm count improvement for grade I , II and III varicocele was 10.1, 12.3 and 13.5 million/ml respectively. Also the total sperm motility improvement was the highest in patients with grade III varicocele from (34.5± 13.6 %) to (55.3 ± 11.9 %), P value <0.05 in 83% of patients. The mean sperm motility improvement postvaricocelectomy was 14.2% , 18.1% and 23.6% for grade I, II and III varicocele respectively. Conclusion: The grade of varicocele has a direct impact on sperm parameters improvements post varicocelectomy with grade III varicoceles had the greatest improvement.